General Membership Form

Bank On Minnesota Coalition

General Membership Form
Thank you for your interest in joining the Bank On Minnesota Coalition.
The coalition brings together financial institutions, community organizations, government agencies, and service providers working to expand safe, affordable banking access for all Minnesotans, especially those who are unbanked or underbanked.

By becoming a member, you join a statewide network committed to improving financial inclusion, strengthening financial capability, and building pathways to economic stability.
Name

First NameLast Name
Organization Name:
Organization Type:

Other
Primary Contact Name:
Title/Role:
Email Address
Phone Number
Organization Address:
Street| City| State | Zip Code
Coalition Engagement Which of the following best describes your interest in joining the coalition? (Check all that apply)

Other
Areas of Collaboration How would your organization like to participate in the coalition? (Check all that apply)
Target Communities Served: Please indicate the communities your organization primarily serves:

Other
Coalition Participation Commitment
Coalition members are encouraged to:
- Participate in bi-monthly coalition meetings
- Engage in collaborative initiatives and resource sharing
- Support community awareness and financial inclusion efforts
- Contribute expertise and insight to strengthen the coalition’s impact
Membership does not require a financial contribution, though organizations may choose to support coalition activities through sponsorships or partnerships.
Agreement

By submitting this form, I confirm that my organization is interested in participating in the Bank On Minnesota Coalition and supporting efforts to expand financial inclusion across Minnesota.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Bank On Minnesota Coalition